SHEA LOGAN

ELMHURST, NY
NPI1598821050
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  P49924)
Enumeration Date2006-12-29
Last Update Date2007-07-08
Business Address
-- SHEA LOGAN LCSW
80TH ST & 41ST AVE
ELMHURST, NY 11373
Phone number: 718-334-5970
Mailing Address
-- SHEA LOGAN LCSW
7901 BROADWAY MANAGED CARE D1-04
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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